Hyphema can also be indicative of various ocular and systemic deficiencies. Therefore, diagnosis and proper treatment is very important.

Diagnosis

Hyphema is diagnosed through hematology and blood biochemistry, lab tests, and diagnostic imaging using X-rays and ultrasound tests.

A complete medical history is taken and a thorough physical examination is performed to include or exclude possible causes.

Common diagnostic tests and procedures include:

Complete blood count with platelet count

Serum biochemistry to measure serum levels in protein

Coagulopathy tests to assess blood coagulation functions

Blood pressure

Urinalysis, to exclude kidney diseases

Chest and abdominal X-rays

Ocular ultrasounds (ultrasonography) to investigate the anterior portion of the eye and include or exclude possibilities of retinal detachment, lens displacement, abnormal masses, and vitreal hemorrhage

Other advanced tests that may be performed include abdominal ultrasounds, X-rays of the head and eye orbit to detect traumatic injuries, and hormonal tests (assays) of the adrenal glands. To detect bone marrow cancer, a bone marrow aspirate - the liquid found within the bone marrow - may also be done.